Source:http://linkedlifedata.com/resource/pubmed/id/14763337
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
2004-2-6
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pubmed:abstractText |
Many circumstances lead to discover a neutropenia in paediatric practice. In most of the cases, it is an acquired, transient neutropenia, related to a viral or a bacterial infection, a malignant haemopathy, or an acquired auto-immune neutropenia, also called benign chronic neutropenia. Constitutional disorder with neutropenia is more exceptional. Many complex genetic diseases include a neutropenia, among which several immunologic disorders that could be easily diagnosed by immunological tests. Other complex genetic diseases include Shwachman-Diamond syndrome, associating an external pancreatic insufficiency with bone and skin abnormalities; Glycogen storage disease type Ib, with metabolic disorder. Primary constitutional neutropenias are limited to very few entities. Kostmann's disease is a permanent isolated neutropenia, usually associated with a bone marrow granulopoeisis blockage; cyclic neutropenia is characterised by recurrent oscillations (every 21 days) of neutrophil count. Elastase 2 gene mutations have been observed in both diseases. Treatment and prevention of severe infections are a major concern in the management of chronic neutropenia and could be achieved by prophylactic antibiotics (like sulfamethoxazole-trimethoprime) and also G-CSF, which is regularly effective, but could facilitate various side-effects. Constitutional neutropenias, especially Kostmann's disease and Shwachman-Diamond syndrome, are associated with an increased leukemic risk.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0929-693X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
10 Suppl 4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
521s-523s
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading | |
pubmed:year |
2003
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pubmed:articleTitle |
[Evaluation of neutropenia in children].
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pubmed:affiliation |
Service d'hématologie et oncologie pédiatrique, hôpital Trousseau AP-HP, 26, avenue du Dr Netter, 75012 Paris, France. jean.donadieu@trs.ap-hop-paris.fr
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pubmed:publicationType |
Journal Article,
English Abstract
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